Organization Active NPI

Arlington Eldercare, LLC

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1477159457
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ARLINGTON ELDERCARE, LLC
Practice address
227 N Evergreen St
Arlington, VA 22203-1225
Phone
(703) 622-2884
Fax
(703) 940-1346
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane J Hendel, NP-CNPI 1730439613
Title
Practice Owner
Phone
(703) 698-2431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

227 N Evergreen St
Arlington, VA 22203-1225

Mailing address

4201 Wilson Blvd # 110-139
Arlington, VA 22203-4417
Phone (703) 622-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229000944 DC Part B Supplier - Clinic/Group Practice 6507279163 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

4201 Wilson Blvd
#110139
Arlington, VA 22203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1477159457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WILSON BLVD # 110-139",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034417",
            "telephone_number": "703-622-2284",
            "fax_number": "703-940-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EVERGREEN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031225",
            "telephone_number": "703-622-2884",
            "fax_number": "703-940-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON ELDERCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "HENDEL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "703-698-2431",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.